TLDR Adolescents with PCOS need tailored diagnosis and support, including lifestyle advice and managing related health issues.
The document discusses the challenges of diagnosing PCOS in adolescents, noting that symptoms can be physiological for up to eight years after menarche, making adult diagnostic criteria only partially applicable. It highlights the introduction of a provisional diagnosis of "PCOS at risk" for adolescents who partially meet the criteria, with a reevaluation recommended three and eight years post-menarche. The 2023 international PCOS guideline and a new German S2k guideline provide standardized criteria for diagnosing hyperandrogenemia and menstrual disorders in this age group. The paper emphasizes the importance of providing information, lifestyle advice, and addressing comorbidities like obesity, insulin resistance, and hypertension as part of the therapeutic approach for adolescents with PCOS.
292 citations
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April 2024 in “Nature Reviews Disease Primers” Early diagnosis and treatment of PCOS are crucial to reduce health risks and costs.
6 citations
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March 2024 in “The Lancet Child & Adolescent Health” 
5 citations
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January 2024 in “Journal of the American Academy of Dermatology” Use benzoyl peroxide, retinoids, antibiotics, and isotretinoin for acne, and combine treatments for better results.
6 citations
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August 2023 in “European journal of endocrinology” The 2023 guideline advises a detailed approach for PCOS, focusing on early detection, lifestyle and medical treatments, and managing health risks.
2 citations
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December 2022 in “Journal of Clinical Medicine” Medications for glucose metabolism and weight control, combined therapy options, and herbal medicines may help regulate menstrual cycle in adolescents with PCOS.
27 citations
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January 2013 in “Indian Journal of Dermatology, Venereology and Leprology” PCOS is a complex disorder managed by treating symptoms and requires a team of specialists.
2 citations
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January 2016 in “Journal of Steroids & Hormonal Science” Women with PCOS and polycystic ovaries have higher male hormone levels and more insulin resistance, especially if they are overweight.
343 citations
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December 2008 in “Endocrine Reviews” Metformin helps with menstrual cycles and insulin levels in PCOS but is less effective for hair growth, diabetes prevention, and weight loss, and may improve fertility and reduce diabetes risk.
December 2023 in “Migration letters” Herbal treatments can help manage PCOS symptoms.
January 2016 in “Journal of SAFOG” Girls with PCOS and menstrual disorders have notably higher androgen hormone levels.
1 citations
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September 2023 in “Medicine” ABO/Rh blood groups are not a risk factor for PCOS.
